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To ensure Allison's safety, both her AMD and declining cognitive level need to be considered.
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ACL 4 (Goal Directed Actions)- Global cognition is moderately impaired.
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Macular degeneration: Loss of central vision. Other symptoms include sensitivity to glare and difficulty with light changes. Some peripheral vision may remain intact. 2 Types: I. Dry AMD – blurred vision, need for increased light, difficulty recognizing faces. – not treatable, but progression can be slowed through a healthy lifestyle and antioxidant vitamins. II. Wet AMD – straight lines appear wavy. – can be stopped or slowed with injections of anti-angiogenic agents into the eye. Laser surgery to cauterize leaking blood vessels is also an option. Treatment must be provided quickly to minimize vision loss, which can be rapid.
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As the patient is a new admission, she is in the early stage of recovery and the limitations caused by her CVA and her current functional abilities are not yet clear. From her movement in bed, it can be observed that the patient has no/very limited function in her left upper and lower extremities.
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Unilateral neglect is an attention disorder that arises as a result of injury to the cerebral cortex . It is also commonly known as contralateral neglect, hemispatial neglect, visuospatial neglect, spatial neglect, or hemineglect. Unilateral spatial neglect (USN) is commonly defined as the failure to attend or respond to stimuli presented on the side opposite to that of a brain lesion, which cannot be attributed to either sensory or motor defects
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The Rood approach uses the assumption that sensory stimulation has the potential to have either an inhibitory or a facilitatory effect on muscle tone. Using appropriate sensory stimuli for evocating the desired muscular response is the basic principle of Rood approach. Rood’s approach has two techniques which have an impact on muscle tone: Facilitatory techniques to improve tone of flaccid muscles and Inhibitory techniques to reduce tone of spastic muscles.
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Recovery time after a stroke is different for everyone, it can take weeks, months, or even years. Some people recover fully, but others have long-term or lifelong disabilities. The most rapid recovery usually occurs during the first three to four months after a stroke, but some survivors continue to recover well into the first and second year after their stroke.
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Individuals with Schizoaffective disorder experience psychotic symptoms, such as hallucinations or delusions, as well as symptoms of a mood disorder- either bipolar type (episodes of mania and sometimes depression) or depressive type (episodes of depression).
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